Active NPI
Amanda D Heppner, LMT
- Massage Therapist
- Worden, MT
National Provider Identifier
1124599907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 2504 N 14TH Rd
Worden, MT 59088-2116 - Phone
- (406) 861-9825
- Fax
- (406) 206-0064
- NPI assigned
- Dec 5, 2018
- Last updated
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 158333 | OK | |
| Massage Therapist | 225700000X | 60914214 | WA | |
| Massage Therapist | 225700000X | NU | Primary |
Addresses
Primary practice location
2504 N 14TH Rd
Worden, MT 59088-2116
Mailing address
2504 N 14TH Rd
Worden, MT 59088-2116
Phone (406) 861-9825
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158333 | Other | OK | MASSAGE THERAPY |
| 60914214 | Other | WA | MASSAGE THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158333 | OK | MD | Massage Therapist |
| 60914214 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Analaigh Heals | Massage Therapist | Current | Accepting new patients |
| Harbor Youth and Family Counseling | Past | Accepting new patients | |
| Tacoma Chiropractic Health Connection | Past | Accepting new patients | |
| E1Spine PLLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Worden, MT
- NPI 1578216230
-
dba Ballard Seattle Chiropractic Center
- Chiropractor
- Seattle, WA
- NPI 1780207241
Massage Therapist
-
- Mental Health Counselor
- Tukwila, WA
- NPI 1205466265
-
dba The Health Connection
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1568595098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1124599907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 N 14TH RD",
"city": "WORDEN",
"state": "MT",
"postal_code": "590882116",
"telephone_number": "406-861-9825",
"fax_number": "406-206-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 N 14TH RD",
"city": "WORDEN",
"state": "MT",
"postal_code": "590882116",
"telephone_number": "406-861-9825",
"fax_number": "406-206-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEPPNER",
"first_name": "AMANDA",
"middle_name": "D",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "158333",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60914214",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "158333",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "60914214",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worden, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.